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 Best of Five 114

 

   

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BOF: 114

A 56-year-old female presents with a history of increasing tiredness. On examination there is pigmentation of her skin creases and buccal mucosa. Her blood pressure is 90/50.

Investigations are as follows:

Blood urea 8.4 mmol/l

Na 130 mmol/l

Potassium 6.1 mmol/l

Chloride 96 mmol/l

Bicarbonate 23 mmol/l

Which of the following tests will confirm the diagnosis?

a)      Random cortisol measurement

b)      Short ACTH stimulation test

c)      Long ACTH stimulation test

d)      0900 Plasma ACTH level and cortisol measurement

e)      Abdominal x-ray

 

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